Coder I, Coding - 20423

Coder I, Coding

DHR Health - US:

TX:

McAllen - Days

Summary:

Position Summary:

Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM codes for billing, internal and external reporting, research, and regulatory compliance. Accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors.

Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters. Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and procedures. Reviews documentation to verify and, when necessary, correct the patient disposition upon discharge.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.

Position Education/

Qualifications:

• CCS-P, CCA, CPC, COC, CIRCC, CTR, CIC, CPC-P, CPC-H, Specialty, or Medical coding certification program preferred

Job Knowledge/

Experience:

• Experience and/or training in medical coding, medical terminology and anatomy and physiology required.
• Requires reasoning ability and good independent judgment
• Ability to perform productive research quickly
• Requires working with minimal interruptions
• Must have an understanding of laws and ethics related to health insurance, medical billing and Health insurance Portability and Accountability Act (HIPPA)

Computer and coding software experience required, 3M encoder preferred

Responsibilities:

Position Responsibilities:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Accurately Codes outpatient procedures according to most current ICD-10-CM, CPT and APC guidelines
• Utilizes computerized 3M Coding Software
• Ability to code outpatient record types such as: EMR, Radiology, Series, RMF Clinics, etc…
• Ability to accurately attach HCPCS Level I and Level II modifiers for billing purposes
• Must meet volume requirements of 120-150 accounts coded daily
• Meets quality standards of having 95% of charts coded accurately
• Must take initiative in researching to further his/her own knowledge in coding
• Must research 3M Coding references for final coding
• Must be able to validate CPT and procedure description
• Must be able to identify medical abbreviations, terms and their meanings
• Must be able to multitask
• Maintains a good working relationship within the department, other departments, and medical staff
• Codes all available records in a timely manner
• Meets productivity standards set forth by the coding manager
• Communicates with Coding Manager to solve problems and to clarify coding issues
• Assist the business office with clearing reimbursement and denial issues
• Clears Aeos in a timely manner
• Communicates with other departments to obtain pertinent information related to
• Attends workshops, seminars or conferences that pertain to position and that fulfill CE hour requirements
• References updated ICD-10-CM/PCS, CPT, and HCPCS Level II electronic code book references as needed
• Reviews Coding Clinic updates and continuing education periodicals in a timely manner
• Adheres to the Health Information Management Policies and Procedures for Coding
• Adheres to the Coding Compliance Plan
• Follows the AHIMA Standards of Ethical Coding
• Maintains confidentiality and safeguards all patient related information.

Performs other duties as assigned

Other information:

Lines of Responsibilities:

(Chain-of-command)

1. Coding Supervisor → 2. Coding Director → 3. Executive Physician /VP of Medical Affairs

Customer Service:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S…